Gene A Bourgasser, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01030642 Issued in IN

Practice address

1210 N 1000 W
Linton, IN 47441-5013

Phone

(812) 847-4481

NPI assigned

May 23, 2005

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sullivan Family Practice, LLC

  • Family Medicine Physician
  • Sullivan, IN
  • NPI 1770502981
  NPD
• Greene County General Hospital LLC

  dba Greene County Health-Linton

  • Family Medicine Physician
  • Linton, IN
  • NPI 1720360019
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1871596064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415282",
            "telephone_number": "812-847-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415013",
            "telephone_number": "812-847-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGASSER",
        "first_name": "GENE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01030642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200015680A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100210220B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Bellman, RPH
• Benjamin a. Wendell, MD LLC
• Lisa Dawn Berns, R.D., C.D.
• Booe Pediatric Dentistry
• Megan Renee Booe, DDS, MSD
• Lisa Bredeweg, NP
• Brent L Ellis DDS PC
• Brinson Family Chiropractic, Inc.
• Amanda Jo Marie Brinson
• Steven Brinson, DC

• Family Medicine Physician in Linton, IN
• Providers in Linton, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.